JONATHAN D EDWARDS (M.D.) – Family Medicine Physician, NPI 1720097298

JONATHAN D EDWARDS (M.D.) is a healthcare provider. based in Athens, Texas. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. H9906 (TX). The NPI Number for JONATHAN D EDWARDS (M.D.) is 1720097298

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN D EDWARDS (M.D.)
NPI
1720097298
Phone
(903) 675-5742
Address
1334 S PALESTINE ST
Enumeration Date
5 August 2006
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9037132000
Graduation Year
1990 (36 years ago)
PAC ID
6800965492
Group Practice PAC ID
4880811108
Professional Enrollment ID
I20080522000279
Address ID
TX751563638GU2418XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for JONATHAN D EDWARDS (M.D.)

  • 1334, South Palestine Street, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 757513621

    Phone: (903) 675-5742

    Fax: (903) 904-5234

    Type: Mailing

  • 212 W CAYUGA DR

    ATHENS, TX 757513204

    Phone: (903) 675-5742

    Fax: (903) 904-5234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($40).

Total Amount

$250

General + Research + Ownership

Payments

13

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080522000279IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg1,620160$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,574188$0
95004Test for allergy using allergenic extract1,05319$0
95165Professional service for preparation and provision of 1 or more antigens93113$0
99214Established patient office or other outpatient visit, 30-39 minutes787436$0
View full utilization report →

Insurance plans in this area (ZIP 75751)

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Provider's Procedures

JONATHAN D EDWARDS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX95004Injection of allergenic extracts into skin, accessed through the skin85016

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880811108View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN D EDWARDS (M.D.)?
NPI 1720097298 is assigned to JONATHAN D EDWARDS (M.D.) under the national enumeration system.
Is JONATHAN D EDWARDS (M.D.) active in the national directory?
JONATHAN D EDWARDS (M.D.)'s public NPI profile is in an active state.
What field does JONATHAN D EDWARDS (M.D.) work in?
You can think of JONATHAN D EDWARDS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN D EDWARDS (M.D.)?
The snapshot lists Athens, Texas for JONATHAN D EDWARDS (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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